MR. MARK HANSEN
NPI 1255172862
Nurse Practitioner in Kernersville, NC

Active since June 06, 2024PECOS EnrolledAccepts Medicare Assignment
291 BROAD ST, KERNERSVILLE, NC 27284(336) 993-8181 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2025, Jul 1, 2024, Jun 6, 2024 (3 updates tracked since 2024).

About Mr. Mark Hansen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARK HANSEN (NPI 1255172862) is an individual nurse practitioner in Kernersville, North Carolina, licensed in North Carolina (5023244) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and maintains a secondary practice location in Greensboro.

NPPES Registry Identity

NPI1255172862
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. MARK HANSEN
Location Address291 BROAD STKernersville, NC 27284-2932
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 6, 2024
Last NPPES UpdateDecember 8, 20253 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
NPI 1255172862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NC · 5023244
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 295448 (NC)
291 BROAD ST, Kernersville, NC 27284

Secondary Practice Location 1

Location 11007 Walker AveGreensboro, NC 27403 · Phone (704) 210-5060

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Mark Hansen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991290520
PECOS Enrollment IDI20251222001044
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27284 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
291 BROAD ST
KERNERSVILLE, NC 27284
Nurse Practitioner
291 BROAD ST
KERNERSVILLE, NC 27284
Nurse Practitioner
291 BROAD ST
KERNERSVILLE, NC 27284
Nurse Practitioner
291 BROAD ST
KERNERSVILLE, NC 27284
Internal Medicine (Rheumatology)
291 BROAD ST
KERNERSVILLE, NC 27284
Pharmacist
291 BROAD ST
KERNERSVILLE, NC 27284
Nurse Practitioner (Family)
291 BROAD ST
KERNERSVILLE, NC 27284
Internal Medicine (Rheumatology)
291 BROAD ST
KERNERSVILLE, NC 27284

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Hansen's NPI number?

The NPI number for Mark Hansen is 1255172862. It was assigned to this individual provider in the NPPES registry on June 6, 2024.

Where is Mark Hansen located?

Mark Hansen practices at 291 Broad St, Kernersville, NC 27284. The listed phone number is (336) 993-8181.

What is Mark Hansen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mark Hansen enrolled in Medicare?

Yes. Mark Hansen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Mark Hansen affiliated with any hospitals?

According to CMS data, Mark Hansen is affiliated with Novant Health Forsyth Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Hansen was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.